Individual
ANTHONY D CAMPOBASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, CADC, CIP
Contact information
Practice address
401 W ONTARIO ST STE 150, CHICAGO, IL 60654-6750
(833) 444-2883
Mailing address
401 W ONTARIO ST STE 150, CHICAGO, IL 60654-6750
(833) 444-2883
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
23596
IL
Other
Enumeration date
10/26/2010
Last updated
07/01/2021
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